Tricuspid Valve Endocarditis due to Klebsiella Specie in a Non-Intravenous Drug User - A Case Report and Review of Current Literature

Tricuspid valve (TV) endocarditis is known to be predominant among intravenous drug users (IDU) commonly due to staphylococcus species. Isolation of Klebsiella species from a TV endocarditis is an uncommon finding. Endocarditis leading to heart failureportends a worse prognosis and is an indication for surgical intervention. In this report, a 20 year old female non-intravenous drug user (NIDU) in peuperium presented with heart failure precipitated by sepsis. Further evaluation revealed background rheumatic valvular heart disease with tricuspid valve endocarditis caused by Klebsiella species. She responded to antibiotics. However, after 3 months of discharge, she presented with significant morbidity from persistent heart failure and pleural effusion.